LIFEHOUSE RIVERSIDE OPERATIONS, LLC. (NPI# 1710166558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710166558 |
| Entity Type | Organization |
| Organization Name | LIFEHOUSE RIVERSIDE OPERATIONS, LLC. |
| Other Organization Name | RIVERSIDE HEALTHCARE CENTER |
| Practice Address |
8781 Lakeview Ave Riverside CA 92509-5969 |
| Practice Telephone | 9516851531 |
| Practice Fax Number | 9516854544 |
| Mailing Telephone | 9516851531 |
| Mailing Fax Number | 9516854544 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | MR. MANEESH BANSAL (CEO) |
| Authorized Official Telephone | 5629249618 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFEHOUSE HEALTH SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Riverside Healthcare Center | Doing Business As Name - Organization |
| Street Address |
8781 LAKEVIEW AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92509-5969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457338584 | Pleasant Care Corporation | Skilled Nursing Facility | 8781 Lakeview Ave, Riverside, CA 92509-5969 | 2005-12-29 |
| 1932566189 | Riverside Postacute Care LLC | Skilled Nursing Facility | 8781 Lakeview Ave, Riverside, CA 92509-5969 | 2016-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720530744 | Leesette De Santiago | Dental Assistant | 6130 Camino Real #12, Riverside, CA 92509 | 2016-10-25 |
| 1043646383 | Andy R Moreno | Counselor | 7790 Big Rock Dr., Riverside, CA 92509 | 2013-09-18 |
| 1275845018 | Myra Agnes Harrison | Pharmacist | 8015 Limonete, Rite Aid, Riverside, CA 92509 | 2010-07-09 |
| 1740424415 | Lin Chew Ota | Obstetrics & Gynecology | 6250 Clay Street, Riverside, CA 92509 | 2009-04-27 |
| 1164660106 | Ramona Jean Carver | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Riverside, CA 92509 | 2009-01-29 |
| 1568627925 | Lisa Anne Razo | Marriage & Family Therapist | 6580 45th St, Riverside, CA 92509 | 2008-07-25 |
| 1215106810 | Xia L. Liu Professional Dentl Corp | Dentist | 8880 Limonite Ave, Pedley, CA 92509 | 2008-02-27 |
| 1467658385 | Riverside County Rubidoux Pharmacy | Pharmacy | 5256 Mission Ave, Rubidoux, CA 92509 | 2007-06-26 |
| 1366644429 | Cynthia Stover | Physician Assistant | 5256 Mission Boulevard, Riverside, CA 92509 | 2007-06-01 |
| 1942327499 | Sober Living By The Sea, Inc | Substance Abuse Rehabilitation Facility | 6690 Limonite Frontage Rd, Riverside, CA 92509 | 2007-03-22 |
| Find all providers in zip 92509 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336700772 | Riverside Snf, LLC | Skilled Nursing Facility | 17040 Arnold Dr, Riverside, CA 92518-2813 | 2019-06-26 |
| 1497168496 | Riverside Villa | Skilled Nursing Facility | 3495 Jefferson St, Riverside, CA 92504-3519 | 2014-06-06 |
| 1093057143 | 100 Wampanoag Trail Operating Company, LLC | Skilled Nursing Facility | 100 Wampanoag Trl, Riverside, RI 02915-3736 | 2013-03-26 |
| 1700186590 | Community Care Rehab Center LLC | Skilled Nursing Facility | 4070 Jurapa Ave, Riverside, CA 92506-2234 | 2010-10-26 |
| 1366643603 | Mutual Care Management, Inc. | Skilled Nursing Facility | 9025 Colorado Ave, Riverside, CA 92503-2157 | 2007-05-31 |
| 1497972624 | Riverside Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 4700 Nw Cliffview Drive, Riverside, MO 64150-1237 | 2007-04-19 |
| 1700912458 | Hattie Ide Chaffee Nursing Home Inc | Skilled Nursing Facility | 200 Wampanoag Trl, Riverside, RI 02915-2206 | 2007-02-26 |
| 1588734164 | Vista Pacifica Enterprises Inc. | Skilled Nursing Facility | 3674 Pacific Ave, Riverside, CA 92509-1948 | 2006-11-09 |
| 1730275769 | Trinity Oakland, Inc | Skilled Nursing Facility | 8487 Magnolia Ave, Riverside, CA 92504-3222 | 2006-10-05 |
| 1902902828 | F. & B. Health Care | Skilled Nursing Facility | 8171 Magnolia, Riverside, CA 92504 | 2006-09-16 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.